Lopez, Elizabeth

Lopez, Elizabeth is an individual health care provider with primary practice located at 7734 N 59Th Ave , Glendale AZ 85301-7816. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Lopez, Elizabeth can be contacted via phone (602) 569-3999.

Contact Information

Primary practice address
7734 N 59Th Ave Glendale AZ 85301-7816
Phone: (602) 569-3999
Fax: (602) 569-3887
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3277 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 3277 Arizona

Profile Details

NPI number 1255494431
LBN Legal business name Lopez, Elizabeth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Jul 12th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255494431 NPPES
Arizona Other Z147594 PART B
Arizona MEDICAID 000083 PART B

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